NICHOLAS JAMES PENNA D.D.S.,P.A. (NPI# 1033210380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033210380 |
| Entity Type | Organization |
| Organization Name | NICHOLAS JAMES PENNA D.D.S.,P.A. |
| Practice Address |
1819 Brenner Ave Salisbury NC 28144-2519 |
| Practice Telephone | 7046335942 |
| Practice Fax Number | 7046390237 |
| Mailing Telephone | 7046335942 |
| Mailing Fax Number | 7046390237 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NICHOLAS JAMES PENNA (PRESIDENT) |
| Authorized Official Telephone | 7046335942 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
NC4936 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8996806 | 05 | |
| NC | 899019P | 05 |
| Street Address |
1819 BRENNER AVE |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689737496 | Nicholas James Penna | Dentist | 1819 Brenner Ave, Salisbury, NC 28144-2519 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144401969 | Carrie L Schwartz | Dentist | 31454 Winterplace Pkwy, Salisbury, MD 21804-1891 | 2007-11-20 |
| 1871714196 | Drs Busby and Webb, Pa | Dentist | 203 Mocksville Avenue, Suite A, Salisbury, NC 28144 | 2007-05-02 |
| 1093936098 | William W Webb IIi | Dentist | 203a Mocksville Ave, Salisbury, NC 28144-3325 | 2007-05-01 |
| 1780695460 | Kevin Joseph Showfety | Dentist | 1607 Old Concord Road, Salisbury, NC 28146-1354 | 2006-08-10 |
| 1669454633 | James Michael Crouse | Dentist | 1413 Wesley Dr, Salisbury, MD 21801-7130 | 2005-11-16 |
| 1710976576 | Stewart Ira Perim | Dentist | 1505 S Salisbury Blvd, Salisbury, MD 21801-7128 | 2005-10-14 |
| 1346417482 | John Michael Tilghman | Dentist | 1324 Belmont Ave, Suite 104, Salisbury, MD 21804-4543 | 2008-05-08 |
| 1457533325 | James M. Crouse, Dds, Pa | Dentist | 1413 Wesley Dr, Salisbury, MD 21801-7130 | 2007-12-03 |
| 1841484938 | Norman Nakaji | Dentist | 2440 Statesville Blvd, Suite110, Salisbury, NC 28147-7128 | 2007-08-31 |
| 1083835060 | Bret R Busby | Dentist | 203a Mocksville Ave, Salisbury, NC 28144-3325 | 2007-05-01 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.